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首页> 外文期刊>Journal of clinical laboratory analysis. >Evaluation of the RT RT ‐ LAMP LAMP and LAMP LAMP methods for detection of Mycobacterium tuberculosis Mycobacterium tuberculosis
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Evaluation of the RT RT ‐ LAMP LAMP and LAMP LAMP methods for detection of Mycobacterium tuberculosis Mycobacterium tuberculosis

机译:评价RT RT灯灯和灯泡灯方法检测分枝杆菌分枝杆菌结核分枝杆菌

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Background The current methods for detecting Mycobacterium tuberculosis (Mtb) are not clinically optimal. Standard culture methods ( SCM s) are slow, costly, or unreliable, and loop‐mediated isothermal amplification ( LAMP ) cannot differentiate live Mtb. Methods This study compared reverse transcription ( RT )‐ LAMP , LAMP , and an SCM for detecting Mtb. A first experiment tested the sensitivity and specificity of primers for 9 species of Mycobacterium (H37Rv, M. intracellulare , M. marinum , M. kansasii , M. avium , M. flavescens , M. smegmatis , M. fortuitum , and M. chelonae ); and 3 non‐Mycobacterium species (Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae). A second experiment tested sputum specimens for the presence of Mtb, from 100 patients with tuberculosis (clinical) and 22 from patients without tuberculosis (control), using Roche solid culture ( SCM ), LAMP , and RT ‐ LAMP . In the clinical samples. Results The rates of positivity for Mtb of the SCM , LAMP , and RT ‐ LAMP methods were 88%, 92%, and 100%, respectively. The difference in detection rate was significant between RT ‐ LAMP and SCM , but RT ‐ LAMP and LAMP were comparable. In the control group, the detection rates were nil for all three methods. Conclusion The specificities of the methods were similar. The sensitivity of RT ‐ LAMP was ~10‐fold higher than that of LAMP for detecting Mtb. Unlike LAMP , RT ‐ LAMP could identify viable bacteria, and was able to detect a single copy of Mtb. Among SCM , LAMP , and RT ‐ LAMP , the latter is the most suitable for wide use in the lower‐level hospitals and clinics of China for detecting Mtb in sputum samples.
机译:背景技术检测分枝杆菌(MTB)的目前的方法在临床上不是最佳的。标准培养方法(SCM S)缓慢,昂贵或不可靠,环介导的等温扩增(灯)不能区分Live MTB。方法对比较逆转录(RT)灯,灯,灯和用于检测MTB的SCM。第一个实验测试了9种分枝杆菌的引物的敏感性和特异性(H37RV,M.骨髓内部,M.Marinum,M.Kansasii,M.Avium,M.Flavescens,M. Smogmatis,M.Fortuitum和M. Chelonae );和3种非分枝杆菌(金黄色葡萄球菌,假单胞菌,铜绿假单胞菌和Klebsiella肺炎)。第二个实验测试了MTB存在的痰标本,从100名结核病(临床)和22例,没有结核病(对照),使用Roche固体培养(SCM),灯和RT灯。在临床样本中。结果SCM,灯和RT灯方法的MTB阳性率分别为88%,92%和100%。 RT灯和SCM之间检测速率的差异显着,但RT - 灯和灯可相当。在对照组中,所有三种方法的检测率为NIL。结论该方法的特异性相似。 RT - 灯的灵敏度高于用于检测MTB的灯的10倍。与灯不同,RT - 灯可以识别可行的细菌,并且能够检测到单一的MTB副本。在SCM,灯和RT灯中,后者最适合在中国较低级别的医院和诊所用于检测痰样品中的MTB。

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